Results: 3302
Brief Report: Preferences and Acceptability in Methods of Tenofovir Diphosphate in Dried Blood Spots Collection and Feedback in a Cohort of PLWH in Cape Town South Africa (2025)
Monitoring HIV treatment adherence using dried blood spots (DBS) is highly acceptable among people living with HIV in South Africa. In a study of 224 participants, 99% supported DBS testing, and 96% found it helpful. Most preferred clinic staff to collect samples (79.5%), while fewer were comfortable with community healthRead more…
Safety of 3-month rifampicin-isoniazid TPT in child household contacts in a community-based intervention (2025)
The WHO recommends shorter TB preventive treatment (TPT) regimens and community-based care to improve outcomes. This study tested the safety of a 3-month rifampicin-isoniazid (3RH) regimen given at home by community health workers (CHWs) in Cameroon and Uganda. Researchers compared this approach to standard facility-based care in a trial involvingRead more…
State Community Health Worker Policies (2024)
Community health workers (CHWs) played a vital role during the COVID-19 pandemic, especially in underserved communities. Their impact has led states to explore long-term partnerships and funding solutions to sustain their work. Many states are now authorizing Medicaid reimbursement and using multiple funding sources to support CHW services. This NASHP’sRead more…
Trends in State Policies That Support the Community Health Worker Workforce (2024)
States are working to sustain and expand the community health worker (CHW) workforce as federal COVID-19 funding ends. Many are exploring long-term financing solutions, particularly through Medicaid, to ensure continued access to CHW services. Policymakers are collaborating with CHWs and stakeholders to strengthen training, certification, and funding strategies. This NASHP’sRead more…
Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement (2024)
Many states have used federal COVID-19 grants to expand community health worker (CHW) programs, recognizing their vital role in connecting communities to health and social services. With these grants ending, states are turning to Medicaid for sustainable funding. Several states have received federal approval to reimburse CHW services through MedicaidRead more…
State Approaches to Community Health Worker Financing through Medicaid State Plan Amendments (2022)
The COVID-19 pandemic has renewed focus on community-led health efforts, with states increasingly partnering with community health workers (CHWs) to support underserved communities. Evidence shows CHWs improve access to care and health outcomes while reducing disparities, driving state policies to strengthen and fund their roles. NASHP’s Community Health Worker LearningRead more…
Lessons for Advancing and Sustaining State Community Health Worker Partnerships (2021)
As states work to strengthen public health systems and address healthcare workforce shortages, many are focusing on community health workers (CHWs) to improve health and equity. A recent 50-state review by NASHP highlights how states are supporting CHWs, particularly through Medicaid funding. Insights from surveys, interviews, and a roundtable discussionRead more…
Effectiveness of an expanded role for community health workers on malaria blood examination rates in malaria elimination settings in Myanmar: an open stepped-wedge, cluster-randomised controlled trial (2024)
As malaria cases decline in the Greater Mekong Subregion, community health workers (CHWs) have become less active. To address this, a new CHW model with expanded roles was tested in Myanmar. The study, conducted in 72 villages, found that the expanded model increased malaria testing by 23% and referrals forRead more…
Perceptions of community healthcare workers on the use of teledentistry for seniors in Singapore: A qualitative study (2025)
This study explored the challenges and opportunities of implementing teledentistry (T-DOCS) from the perspective of Community Health Workers (CHWs). Interviews with 43 CHWs revealed barriers such as low awareness of dental care, lack of confidence, staffing shortages, competing duties, and limited access due to COVID-19. However, CHWs’ motivation, existing patientRead more…
The role of community health workers in a collaborative care management intervention for cancer pain management: a feasibility study for a randomized controlled trial (2025)
This study aimed to explore the potential of community health workers (CHWs) in helping rural and Hispanic/Latino cancer patients manage pain. The researchers surveyed and interviewed 12 experienced CHWs to understand their comfort levels, challenges, and needs for delivering a new pain management program. Most CHWs felt confident about workingRead more…
Association of clinical signs of possible serious bacterial infections identified by community health workers with mortality of young infants in South Asia: a prospective, observational cohort study (2025)
This study aimed to understand how certain signs in young infants, like poor feeding or lack of movement, can predict the risk of death. Community health workers (CHWs) in Bangladesh, India, and Pakistan visited infants regularly to check for these signs. The study found that signs like no movement, poorRead more…
Readiness to deliver quality curative care for under-five children at health posts in Ethiopia (2025)
This study assessed the readiness of health posts in Ethiopia to provide quality care for children under five. Many lacked electricity, communication tools, and essential infection prevention supplies. While most health extension workers (HEWs) were trained, access to key medicines and equipment was limited. Readiness varied across regions, highlighting theRead more…
Cost-effectiveness of decentralising acute malnutrition treatment with a standard or simplified treatment protocol: an economic evaluation in the region of Gao, Mali (2025)
This study in Northern Mali found that involving community health workers (CHWs) in treating acute malnutrition is more cost-effective than treatment at health facilities alone. CHW sites improved access, reduced treatment costs, and increased recovery rates. Using a simplified treatment protocol further cut costs, especially for therapeutic food. This approachRead more…
Evaluation of Clinically Integrated Community Health Worker Support Interventions for Adults With Cardiovascular Disease: A Literature Review Guided by the PRISM Framework (2025)
This review examined how clinically integrated community health workers (cCHWs) help manage cardiovascular diseases (CVDs) in real-world settings. Researchers analyzed 25 studies from PubMed, CINAHL, and APA PsycInfo databases, focusing on cCHW programs for adults with CVD. Most studies (23 out of 25) showed that cCHW interventions improved outcomes likeRead more…
Incorporating Community Case Management in Risk-Based Surveillance for Malaria Elimination in the Dominican Republic (2025)
This study assessed how community health workers (CHWs) improved malaria detection in the Dominican Republic. Using a statistical method (Freedom from Infection, FFI), researchers combined routine health data with CHW data from 33 facilities (2018–2022). Without CHW data, only 52% of facilities could confirm being malaria-free for about 13 months.Read more…
Interprofessional collaboration between pharmacists and community health workers: a scoping review (2025)
This review explored how community health workers (CHWs) and pharmacists collaborate to improve patient care. CHWs collected patient information, helped with self-management, translated information, and ensured follow-ups, while pharmacists focused on medication and patient education. They worked together in various ways, from sharing information to delivering services as a team.Read more…
The impact of the Lesotho health reform in the re-structuring of the village health workers program (2025)
This study examined how health reforms in Lesotho improved the Village Health Worker (VHW) program. Key changes included clearer roles, better monitoring, and performance-based payments. These reforms boosted VHW performance, strengthened community health links, and increased service use. The findings highlight that proper support and incentives help VHWs fulfill theirRead more…
Understanding the unique role of community-based para-professionals delivering early childhood development in low-resource contexts a Delphi study (2025)
This study explored the training needs of community-based para-professionals who support early childhood development (ECD) in low-income areas. Experts agreed that training should focus on communication, relationship-building, and culturally responsive care. The findings highlight the valuable role these workers play in bridging gaps between families and formal health and educationRead more…
The Impact of Rural Alimentation on the Motivation and Retention of Indigenous Community Health Workers in India: A Qualitative Study (2025)
This study explored how access to local, traditional food influences the motivation and retention of Indigenous community health workers (CHWs) in rural Jharkhand, India. CHWs who had consistent access to nutritious local foods reported higher job satisfaction, better health, and stronger commitment to their roles. Community support and cultural tiesRead more…
Cost-effectiveness of leveraging existing HIV primary health systems and community health workers for hypertension screening and treatment in Africa: An individual-based modeling study (2025)
This study evaluated the cost-effectiveness of improving hypertension care in Africa. Two strategies were tested: expanding HIV clinics to treat hypertension (CCC) and adding community health worker (CHW) screenings for adults over 40. The results showed that both approaches could reduce heart disease, strokes, and deaths. CHW screening combined withRead more…
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